604 Hospital-Based Nursing Homes in the United States

Nurse hours

4.77 /day

Staff turnover

44%

Serious cites

0

Hardin County Nh runs 4.77 total nurse hours per resident per day, roughly a quarter more staffing than the national average, and its 44.2% turnover sits just under the national rate. Those are the positives. Against them: eleven deficiencies on the current record, three serious enough to involve harm or jeopardy, and $67,490 in fines across two events. The quality measure rating sits at 1 out of 5, weekend staffing drops about 17% below weekday levels, and the last inspection was February 2026. County ownership is stable, but stable isn't the same as clean. If you're considering this one, ask what specifically drove those three harm-level findings and how weekend coverage actually looks in practice.

Nurse hours

4.77 /day

Staff turnover

78%

Serious cites

0

Crook County Medical Services District Long Term C runs a high-staffing operation: 4.77 nurse hours per resident day, roughly a quarter above the national average, and weekends dip only about 15% below its own weekday level. That staffing is the strongest part of the picture. The trouble sits elsewhere. Staff turnover runs 78.2% against a national average near 46%, so the people providing that care are cycling through fast. The home carries 25 deficiencies on its current record, including one at the harm level and four tied to abuse, plus a fine of $8,981, with its last inspection in August 2025. Nonprofit ownership hasn't kept quality measures from landing at the bottom of CMS's scale.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Pacifica Hospital of the Valley's skilled nursing unit has a staffing problem you should weigh heavily. Its CMS staffing rating sits at 1 out of 5, and the health inspection rating is also 1, the lowest possible, despite the quality measure score of 4, which reflects clinical data like hospitalizations and medication management rather than day-to-day care on the floor. The inspection record shows 51 deficiencies, one serious enough to reach harm or jeopardy level, and a $60,373 fine, all from a February 2026 survey. This is an individual for-profit operator, which in California often means thinner staffing budgets. Ask directly how many CNAs are on the floor at night before you decide.

Nurse hours

3.24 /day

Staff turnover

48%

Serious cites

0

The Waters of Hobart runs on thinner nursing coverage than most homes, 3.24 hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday level. That's a one-star federal staffing rating, and annual turnover of 48.1% sits slightly above the national figure, so the aides and nurses on the floor keep changing. Its health inspection record shows 50 deficiencies, one serious enough to reach harm or jeopardy, though none are abuse-related; the most recent inspection was June 17, 2025. Corporate for-profit ownership, 110 beds. The quality measure rating is strong at 4 out of 5, which makes the thin staffing the real question to ask about.

Nurse hours

— /day

Staff turnover

39%

Serious cites

0

Greeley County Hospital Ltcu is a small non-profit home in Tribune, just 16 certified beds, and its inspection record is the strongest part of the picture, with a 4-out-of-5 health inspection rating and a recent survey from November 2025. The trouble sits in the other two categories: CMS gives it 1 out of 5 for both quality measures and staffing. Its record carries 19 deficiencies, three of them serious enough to involve harm or jeopardy, plus one tied to abuse. Staff turnover runs 38.5%, which is actually better than the 45.8% national average, so retention isn't the main problem here. The low staffing rating is about hours and coverage, not whether people stay.

Nurse hours

2.86 /day

Staff turnover

57%

Serious cites

0

Pole Creek Estates runs 63 certified beds in Sidney under nonprofit ownership, and its 2.86 nurse hours per resident day sit about 26% under the national average of 3.86. Weekends dip roughly another 10% below the home's own weekday coverage, and annual turnover hits 56.5% against a national 45.8%, that combination is where the C comes from, even though CMS gives staffing 4 of 5 stars. The inspection record shows 12 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last survey was July 17, 2025.

Nurse hours

3.77 /day

Staff turnover

23%

Serious cites

0

Robert Packer Hospital Skilled Care and Rehab runs 68 certified beds in Towanda under nonprofit ownership, and its staffing record is the strongest part of the story: turnover sits at 23% against a national average near 46%, so the aides and nurses you meet are more likely to still be there next year. That stability comes with a caveat, weekend coverage drops roughly 30% below weekday levels, and total nurse time lands just under the national figure. The inspection record is thinner than you'd want: 18 deficiencies, including one tied to abuse and one at the harm level, plus a $33,027 fine, with the most recent survey in January 2026.

Nurse hours

3.45 /day

Staff turnover

56%

Serious cites

0

Wedgewood runs on thin staffing, and the numbers show it: 3.45 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14% below its own weekday level. That's the kind of gap families notice on Saturday afternoons. Turnover sits at 56.1%, well above the national 45.8%, so the people caring for your relative keep changing. The health inspection record carries 39 deficiencies, three of them serious enough to put residents at risk of harm, though none involve abuse, and two fines total $31,778. A 5/5 quality measure score stands out, but it sits alongside 2/5 ratings for both staffing and inspections, a split worth asking about directly.

Nurse hours

3.17 /day

Staff turnover

54%

Serious cites

0

Rowlett Health and Rehabilitation Center runs 163 beds under for-profit LLC ownership, and its inspection record is the strongest part of the story: a four-star health inspection rating, 16 deficiencies on file with none at the harm or jeopardy level and nothing abuse-related, and a recent survey from July 2025. Staffing is where the picture dims. At 3.17 nurse hours per resident day, this home sits roughly 18% under the national average of 3.86, and weekends run about 9% thinner than its own weekdays. Annual turnover of 53.9% tops the national 45.8% average, which means the people at the bedside keep changing. Plenty of homes with worse inspection records have better staffing math than this.

Nurse hours

2.98 /day

Staff turnover

52%

Serious cites

0

The Lev At Winchester is run by a hospital district, and its inspection record is the strongest thing going for it, a four-star health inspection score, no deficiencies at the harm or jeopardy level, no abuse citations, and a recent survey from August 2025. On the floor, though, the numbers tell a different story: 2.98 nurse hours per resident per day against a national average of 3.86, with weekends running roughly 12% thinner than weekdays. Staff turnover sits at 52.1%, above the 45.8% national figure, which matters most when the same aides aren't there week to week. Quality measures score well at four stars, and there's just one fine on record, $3,174. If your family member needs steady hands nearby, ask specifically about weekend coverage and how long the current staff have been there.

Nurse hours

3.06 /day

Staff turnover

51%

Serious cites

0

Princeton Medical Lodge runs on a government hospital district license with 138 certified beds, and its inspection record is genuinely clean, a five-star health inspection rating, 11 deficiencies with none at harm or jeopardy level and nothing abuse-related, and a survey as recent as March 2026. Where the picture changes is daily care capacity. Nurse staffing sits at 3.06 hours per resident day against a national average of 3.86, roughly a fifth below it, and weekends drop about 15% below the home's own weekday coverage. Staff turnover of 51.1% tops the 45.8% national figure. Strong surveys, thin staffing, and a workforce that keeps cycling through, that combination is what pulls the overall grade down.

Nurse hours

3.45 /day

Staff turnover

42%

Serious cites

0

Northeast Rehabilitation runs on 3.45 nursing hours per resident day, about 11% under the national average, and weekends drop roughly 15% below its own weekday staffing. Turnover sits at 41.8%, a bit better than the 45.8% national figure, but the inspection record is where the real trouble shows: 45 deficiencies, two at harm or jeopardy level, and five tied to abuse. Fines total $16,449 across two penalties, and the last inspection was March 2025. It's a government hospital-district home, so ownership isn't the issue here, the staffing shortfall and that deficiency count are what a family should weigh before deciding.

Nurse hours

3.20 /day

Staff turnover

34%

Serious cites

0

West Oaks runs lean on nursing hours, 3.20 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 16% below its own weekday coverage. That staffing pattern sits behind a 2-star rating from CMS, and the inspection record shows 32 deficiencies, five of them serious enough to put residents at harm or jeopardy, plus two fines totaling $39,527. What cuts the other way: staff turnover is 34.1%, well below the 45.8% national figure, and the quality measures score 4 out of 5. It's a hospital-district home with a recent February 2026 inspection, so the picture is current. The tradeoff is real, stable caregivers, but not enough of them on the floor.

Nurse hours

3.43 /day

Staff turnover

59%

Serious cites

0

Sanford Senior Care Sheldon runs 3.43 nursing hours per resident per day, roughly 11 percent under the national average, and weekends drop another 11 percent below its own weekday level. That thinner coverage adds up when you consider turnover: 58.9 percent of staff left over the past year, well above the 45.8 percent national rate. The inspection record is the harder part. Twenty deficiencies are on file, four of them serious enough to put residents at harm or jeopardy, including one tied to abuse. The last inspection was November 2025, so the picture is current, and a $11,872 fine is attached. This is a nonprofit home with 70 beds, and the numbers show a building struggling with both care quality and keeping people.

Nurse hours

3.12 /day

Staff turnover

—

Serious cites

0

El Paso Health & Rehabilitation Center runs on 3.12 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating and 55 deficiencies on the current record, including two at the harm or jeopardy level and two tied to abuse. Inspectors were last in on August 7, 2025, so the findings are recent, and the home carries one fine of $20,312. It's a 150-bed hospital-district facility, which can mean public oversight, but the numbers here don't show it translating into safer care.

Nurse hours

5.17 /day

Staff turnover

98%

Serious cites

0

Mesa View Senior Living in Canadian runs on a hospital district's license and staffs at 5.17 nurse hours per resident day, roughly a third more than the national average of 3.86, with weekends dipping only slightly below weekdays. That kind of coverage is hard to find. The complications sit elsewhere: staff turnover hits 98.2% against a national 45.8%, meaning the people providing that generous coverage are largely new faces. Sixteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in December 2025. Quality measure scores land at 1 out of 5 stars, which reflects resident-level clinical outcomes rather than the staffing numbers.

Nurse hours

3.36 /day

Staff turnover

31%

Serious cites

0

Renaissance Rehabilitation runs on a government hospital district's license in Italy, Texas, with 74 certified beds. The inspection record is the standout: a five-star federal rating, 11 deficiencies on file and none of them at the harm or jeopardy level, with the most recent survey done in September 2025. Staffing tells a different story. At 3.36 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, weekends run roughly a tenth thinner than weekdays, and the government's staffing rating lands at two stars. Turnover, though, is genuinely low at 31.1 percent against a 45.8 percent national figure. Quality measures rate two stars.

Nurse hours

3.31 /day

Staff turnover

58%

Serious cites

0

Pleasant Manor runs about 3.31 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 13% below its own weekday levels. Staff turnover sits at 57.7%, well above the 45.8% national figure, so the people caring for residents change often. The current inspection record carries 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $29,011 in fines across two penalties. Its quality measure score looks strong on paper, but that reflects charted clinical data, not the staffing and safety picture. The most recent inspection was March 2026. For-profit, LLC-owned, 132 beds.

Nurse hours

2.96 /day

Staff turnover

58%

Serious cites

0

Keller Oaks runs on thin staffing. At 2.96 nurse hours per resident per day, it sits well under the national average of 3.86, and weekends drop about 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Staff turnover is 58.3%, noticeably above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. Inspections look better: a May 2025 survey, 19 deficiencies with none at harm or jeopardy level and no abuse findings. The hospital-district ownership is unusual for a Texas nursing home. Clinical quality measures score well; direct care hours don't. That gap is the whole story here.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Cordova Community Med Ltc is a small city- or county-run home with just 10 certified beds, which matters for how you read its record. The 15 deficiencies on file sound like a lot until you notice none of them were cited at a level that caused harm or put residents in immediate jeopardy, though one did involve abuse, and that's the kind of finding worth asking about directly. Its 2-out-of-5 quality measure rating is the weaker signal here, suggesting the clinical numbers that track resident care lag behind what you'd want. The last inspection was March 2026, so the picture is fairly current.